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General NPI Number Information
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NPI Number | 1992827554
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC COMPANY - CEDARBURG LTD
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | W57N14280 DOERR WAY STE 101
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City | CEDARBURG
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State | WI
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Zip | 53012-3108
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Country | US
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Telephone | 262-377-3240
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Fax | 262-421-2773
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Provider Business Mailing Address
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Address Line | W57N14280 DOERR WAY STE 101
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City | CEDARBURG
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State | WI
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Zip | 53012-3108
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Country | US
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Telephone | 262-377-3240
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Fax | 262-421-2773
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Authorized Official
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Title or Position | CFO
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Name | DR. JOHN P CORSI
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Credential | DC
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Telephone | 414-354-5377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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